- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.77 / $36.36 / $237.33
| Facility | | $13.77 | $36.36 | $237.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.29 / $15.61 / $18.37
| Professional | | $10.29 | $15.61 | $18.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.02 / $11.02 / $12.76
| Professional | | $11.02 | $11.02 | $12.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.10 / $58.42 / $108.38
| Facility | | $20.10 | $58.42 | $108.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $9.74 / $15.00
| Professional | | $5.00 | $9.74 | $15.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.45 / $27.56 / $58.61
| Facility | | $17.45 | $27.56 | $58.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.27 / $18.37 / $18.37
| Facility | | $11.27 | $18.37 | $18.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.83 / $40.36 / $92.55
| Facility | | $12.83 | $40.36 | $92.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.74 / $13.36 / $31.18
| Professional | | $9.74 | $13.36 | $31.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $262.97 / $334.35 / $334.35
| Facility | | $262.97 | $334.35 | $334.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.78 / $18.37 / $23.88
| Facility | | $13.78 | $18.37 | $23.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.53 / $18.37 / $22.75
| Professional | | $16.53 | $18.37 | $22.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.33 / $18.37 / $50.72
| Facility | | $14.33 | $18.37 | $50.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.74 / $14.13 / $26.54
| Professional | | $9.74 | $14.13 | $26.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.72 / $10.53 / $17.14
| Professional | | $7.72 | $10.53 | $17.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.16 / $9.07 / $18.37
| Professional | | $7.16 | $9.07 | $18.37 |